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LIFE CHOICES UNLIMITED, INC.

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child·EDINBURG, TX·NPI: 1205037900Share

Compared to Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.0M is at the 25th percentile among 5 Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child providers.

Active Billing Period:2021-012024-12(48 months)

Total Paid

$28.0M

$28,011,963

Total Claims

291K

Beneficiaries

20K

14.4 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2021
$4.0M
+90%
2022
$7.6M
+7%
2023
$8.1M
+3%
2024
$8.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 59% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$16.5M

99K claims · 59.1%

Your Cost: $166.93/claim|Median: $321.53
0.5× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.9M

19K claims · 6.7%

Your Cost: $96.86/claim|Median: $331.94
0.3× median
H2014Normal range

Skills training & development, per 15 min

$1.8M

40K claims · 6.6%

Your Cost: $45.62/claim|Median: $83.88
0.5× median
M0123Top 1%

$1.2M

16K claims · 4.3%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
M0152Normal range

$1.1M

6,388 claims · 3.9%

Your Cost: $171.60/claim|Median: $174.64
1.0× median
M0150Normal range

$1.1M

6,888 claims · 3.9%

Your Cost: $157.53/claim|Median: $161.06
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$876K

21K claims · 3.1%

Your Cost: $42.02/claim|Median: $87.34
0.5× median
M0122Normal range

$740K

10K claims · 2.6%

Your Cost: $72.39/claim|Median: $72.56
1.0× median
M0125Top 1%

$674K

7,169 claims · 2.4%

Your Cost: $94.07/claim|Median: $94.07
1.0× median
M0116Normal range

$398K

12K claims · 1.4%

Your Cost: $31.85/claim|Median: $32.07
1.0× median
M0118Normal range

$386K

11K claims · 1.4%

Your Cost: $36.18/claim|Median: $38.00
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$347K

5,084 claims · 1.2%

Your Cost: $68.17/claim|Median: $84.46
0.8× median
T1002Normal range

RN services, per 15 minutes

$188K

10K claims · 0.7%

Your Cost: $18.39/claim|Median: $37.42
0.5× median
M0115Normal range

$178K

6,104 claims · 0.6%

Your Cost: $29.10/claim|Median: $29.58
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$141K

372 claims · 0.5%

Your Cost: $379.08/claim|Median: $24.34
15.6× median
M0354Normal range

$133K

1,142 claims · 0.5%

Your Cost: $116.64/claim|Median: $90.61
1.3× median
T1003Normal range

LPN/LVN services, per 15 minutes

$88K

10K claims · 0.3%

Your Cost: $8.52/claim|Median: $24.24
0.4× median
M0298Normal range

$76K

5,925 claims · 0.3%

Your Cost: $12.88/claim|Median: $13.85
0.9× median
M0299Normal range

$52K

1,768 claims · 0.2%

Your Cost: $29.40/claim|Median: $34.98
0.8× median
M0113Normal range

$49K

125 claims · 0.2%

Your Cost: $392.21/claim|Median: $397.30
1.0× median
M0360Normal range

$20K

221 claims · 0.1%

Your Cost: $89.26/claim|Median: $102.43
0.9× median
M0315Normal range

$8K

301 claims · 0.0%

Your Cost: $26.61/claim|Median: $29.80
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3K

36 claims · 0.0%

Your Cost: $74.56/claim|Median: $84.12
0.9× median
M0101Top 25%

$3K

17 claims · 0.0%

Your Cost: $156.06/claim|Median: $65.66
2.4× median
M0306Normal range

$252

21 claims · 0.0%

Your Cost: $12.02/claim|Median: $12.02
1.0× median

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